|
�
<br />�
<br />PER�/IIT APPLICATION
<br />BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION
<br />CITY OF EVERETT PERMIT SERVICES
<br />.+.'.1:�) Cel1Ji 5! . I_�n_:t.rt. .. ?d�l)I �SiS :��,1-}'H 10 4...( .7 �'i 15,-�i9A`�i ..:i:. �va . �..�� r,���
<br />ADDRE55. .�,� _
<br />? � � �J- l,,'/�'� f% . . �1�
<br />lGG11L' .� � r_.•.i.i�.�� n.it � latai�r�.�:. . __
<br />� �,.
<br />OIhNLR_��.dr�_�=�Iw [. i_:'�= ____. ._ .---
<br />/ ..
<br />J .
<br />, � " �l� � ).: � � �� L •..'� .
<br />APPLICANT. ..� . _.. .�_.:,�.,_. .. i � . ����
<br />CONTRACTUR _-- ily/!- :. . :� � �s � . __ _.r�G. , _ - .--_
<br />� Jf , _ !/'. � 4��7 f�'� . �: _ .. . :/�lj. . �r
<br />BUILDING PERMIT AFPLICATION
<br />i�aoriNivrnKn I �'�{I��ur "0�3
<br />i� ��r, _ �� c�c.�,r, <�„ , � ��
<br />� � i.
<br />.i'� .an,rn�,ii�t�,�.i�:��• .. ..
<br />, . _ ., �y `' �:• -'���j _ 7 ;� --
<br />�, , . . .--� c t � ',j � i �.• ���� : ,� ' .
<br />. . . � __ r r � . .. .. . . . . . . . . . �. . . �
<br />`__'''-� . I ��._ � �_ ..-..��1 __. _- ��'-`—�--n �--- -. . ._-
<br />`; . , r/�s'%L+ � . .,i 1��- ,� _
<br />CONTAC110R PFRh11T � /.:.: �y ,i ..,.... ;'i.�'. /�.�. 1,-r:.
<br />� _ ��� �' r�i � �C ' ,
<br />CONTHACTPRICEOFVVONK ��7-�'yC'fn-� �Z�C%.�'''-
<br />�
<br />It.,i� ;u, �u.. � � - - - ----- - --__ ��.��t
<br />v;,i�, r�,.,.•.
<br />�-, .�.�i. . rE..p:��J_ �'----_'" —_ — __ ' —
<br />'P .i .. . i. . C] . - �., � i.., , � i � ; . i-hrh[u5^ '__ Idi.l9 f d" / _. (.im�rnrUdl
<br />I I� . r. I I:�.: � H.:'�']..� qn,�.. T_ >;7__'Lr nilc_f [rtlC.'il ]r '
<br />, � ... '
<br />� .. - ---- �--- --� - � � ---- '--
<br />!DFSCRIPTION OF WORK � �... - . � :�i .� . � •' � -
<br />cu„"
<br />�
<br />c.ra-��9c d�;=_ _�
<br />� �/�fJI:LLv'.�rl� ��/.'� �;{�•�.���t't"t_._ '�` .'>i ������ l.! .. .. k'. ..1../,_^.�f'.��:�-.'i_
<br />i
<br />!, � .. v`:J� ,'r. . k_ ,
<br />MECHANICAL PERMIY APPLICATION PLUMBING PERMIT APPLICATION
<br />Typcoll'�u�c�l fli�.v A�1r1n n�frr.v��„� Prp��n TyJe.tPr�,��i.l Nrh� AAcin .Ailrial�,-n PPn��r
<br />Sliu.v'i�mCerial��l/ulurr., $nn.vNumhivlalo/Inforr'•. ._ ...
<br />___—_ _. ..__ _.._.. ..__- ____._"'__.'_ _—_'_ ._—
<br />. " --'_ . . _ _-__ ._'_' _. .___
<br />� r1.�.-a��,�ru�•Qi�m's—__.__ __ __ IuICt --..__--_—__..__
<br />_ — — _
<br />F���.rd a � syslen•9 � N,��t�t�G
<br />- __ _--_--- _—
<br />—_ —__— ' . _ _—.
<br />„___..__ . Livalrrvla:dShL'ati�nl
<br />� bVdlCl hl`d'C!
<br />[ c�s-n,en���«
<br />I r,,�,�,�qe —
<br />' C';:7,es Aryr,
<br />�' fiJ��'�l' "00�:
<br />� f.h:wsllan
<br />��Y�1� GLI•'p
<br />Ur I °edlef
<br />. _-_i�r'fiG^f�l;_f❑ '__'.—__. .
<br />__' '�T'.'�.1.�:..
<br />- 1.� rr_� . "—_—.___
<br />� ,-.:.;� �----- -� ------ _.
<br />JKLER / SUPPRESSION SYSTE
<br />r:ur r� r ut I�cads
<br />hONI'I
<br />dchen S�.rk d diSC
<br />�snwasnm
<br />Iplh�'S NdShCf
<br />�d�Cf hl'd}fl
<br />mk (scrvice�bar/n�
<br />acN�lo�v orevenlcr
<br />i Unna�
<br />punkmq F mta�n _ _.
<br />floci U�a�n __
<br />Giease Irap .__ .._'_
<br />� H0o1 dr��n5 __
<br />I,ted�cal Gas __
<br />I Otner
<br />���r��r�e•�y�na.�ra.ei,:�...� ��.���•,.�a�.ar��arf�..�-�..^•��.. �ri;..u��tpn�ionsrnso'�ae�va^!o•4mances9c.r..ingm�sryCeol��c��e�.e.�::r1'•1
<br />:,nnnenersDr.�. „ � I ,i �o,���i•- ' acn� itei �,.��Q, . .•��o.��icorcacenneCo.�sioncl>nycmersia�eo�ioa.uxmgu'�inq ��...,
<br />ir�!lamau'ne��ie0��+ o:�rvc �s�ot„i�^Pe�mmipea:n�or.�cOapC'�eaio �rtiaaea�'�1i�em�'yw!nine5�.�4Con��ac�oi�laetEi7F�Na+O:°E17.14' . `/
<br />I z
<br />OenrrlAulhon:uA Ay�•nl5�gndivm
<br />I�
<br />��•.., �«�77�:.�i'1
<br />
|